Awardee Lead Profile Assessment (ALPA)

Forms and Documents

Document Name	Status
Form 0920-1215 Awardee Lead Profile Assessment (ALPA) Email Survey (MS WORD) Form and Instruction	Modified
Form 0920-1215 Awardee Lead Profile Assessment (ALPA) Web Survey Form and Instruction	Unchanged
0920-1215 ALPA Nonmaterial Change Justification.docx Justification for No Material/Nonsubstantive Change	2022-06-03
1 - ALPA List of Attachments 20210827 clean.docx Supplementary Document	2021-09-02
Att3c FY21 NOFO.pdf Supplementary Document	2021-09-02
0920-1215 ALPA Change Request Justification 20210827.docx Justification for No Material/Nonsubstantive Change	2021-09-02
Att5 PIA Form_ALPA 20200828.pdf Supplementary Document	2020-10-27
Att3b FY18 NOFO.pdf Supplementary Document	2020-10-27
Att8 ALPA Research Determination 20200626.pdf Supplementary Document	2020-10-27
Att7 Follow-Up Email 20200928.docx Supplementary Document	2020-10-27
Att6 Invitation to Participate 20200928.docx Supplementary Document	2020-10-27
Att3a FY17 NOFO.pdf Supplementary Document	2020-10-27
1 - ALPA SS Part B 20210827 clean.docx Supporting Statement B	2021-09-02
1 - ALPA SS Part A 20210827 clean.docx Supporting Statement A	2021-09-02
Att2 ALPA 60-day FRN.pdf Supplementary Document	2020-10-27
Att1 Authorizing Legislation.pdf Supplementary Document	2020-10-27

IC Document Collections

IC ID	Document Title	Status
244285	Awardee Lead Profile Assessment (ALPA) Email Survey (MS WORD) Form and Instruction	Modified
228696	Awardee Lead Profile Assessment (ALPA) Web Survey Form and Instruction	Unchanged

ICR Details

OMB Control No: 0920-1215	ICR Reference No: 202206-0920-003
Status: Received in OIRA	Previous ICR Reference No: 202108-0920-020
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1215-22GB
Title: Awardee Lead Profile Assessment (ALPA)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/03/2022

	Requested	Previously Approved
Expiration Date	03/31/2024	03/31/2024
Responses	75	75
Time Burden (Hours)	59	59
Cost Burden (Dollars)	0	0

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Abstract: CDC is requesting a nonmaterial/non-substantive change to the Awardee Lead Profile Assessment (ALPA) survey (Attachment 4b) and the training manual (Attachment 4c) to help guide respondents through taking ALPA. The change will be to add an asterisk behind each mention of the term “screening and/or testing”. The asterisk will be explained in the footer of the document and will define the term “screening and/or testing” for clarity. This will not affect the currently approved annual burden hours. There is no change to the method of deployment for the survey.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: U.S. Public Health Service Act
   US Code: 42 USC 301A, 317A, and 317B Name of Law: Public Health Service Act
   PL: Pub.L. 114 - 322 2204 Name of Law: Water Infrastructure Improvements for the Nation
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 43837	07/20/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 70151	11/04/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Awardee Lead Profile Assessment (ALPA) Web Survey	0920-1215	Awardee Lead Profile Assessment (ALPH) Web Survey
Awardee Lead Profile Assessment (ALPA) Email Survey (MS WORD)	0920-1215	Awardee Lead Profile Assessment (ALPH) Email Survey (MS WORD)

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	75	75	0	0	0	0
Annual Time Burden (Hours)	59	59	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: A new NOFO will begin on September 30, 2021, entitled “Childhood Lead Poisoning Prevention and Surveillance of Blood Lead Levels in Children” (CDC-RFA-EH21-2102; Attachment 3c). The National Center for Environmental Health (NCEH) requests that the maximum number of respondents for the Awardee Lead Profile Assessment be increased from 61 respondents to 75 respondents.

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Annual Cost to Federal Government: $2,419,324

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/03/2022

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